1. Skene Duct Abscess – Case Report.
- Author
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Berechet, M. C., Nacer, K., Bumbu, G., Maghiar, T. A., Bratu, O. G., Tica, O., Bumbu, B. A., and Bumbu, A. G.
- Subjects
ABSCESSES ,SURGICAL complications ,URINARY catheters ,INTRAVENOUS anesthesia ,SPINAL anesthesia ,VAGINAL discharge - Abstract
Introduction and Objectives. Paraurethral Skene’s glands located in the lower third of the urethra secrete a fluid which serves to lubricate the urethra and has antiseptic value for the urethral meatus and vaginal introit. Skene’s gland abscess is rarely seen in common practice, with an unknown incidence. Materials and Methods. In this patient illness manifested itself brutally with vaginal pain, dysuria, and purulent leaks from the urethra. Surgical excision of the abscess was performed in spinal anesthesia after intravenous antibiotics trough anterior vaginal approach. Bleeding was minimal, no others intraoperative complications and postoperative recovery was simple. Bladder drainage was provided during the surgical procedure and postoperatively by an 18 Fr Foley catheter. Results. One year after the intervention, there is no local relapse and micturition is easy, the patient being continent. The histopathological examination completed the preoperative diagnosis and allowed identification of the patho)genesis in this case. Conclusions. The U-transvaginal flap technique is a technique that allows complete ablation, is less traumatic and allows early and fast recovery. To prevent surgical complications in the postoperative period, it is necessary to have a team of professionals involved in such interventions as well as special equipment with specific instruments; in this sense, we mention the knowledge of the anatomical relations between the urethral wall and the vaginal wall. [ABSTRACT FROM AUTHOR]
- Published
- 2021